Order Confirmation Form

/ Catholic High Alumni / CNY17-
CHINESE NEW YEAR SALES 2017 Pre-Order Form
TO: / FROM :
Catholic High Alumni
9 Bishan Street 22
Catholic High School (Secondary)
Singapore 579767
Tel / Fax : 6459 5801 HP : 98620315
Email:
Attn : Doris Tan / Name
Address
Mobile Tel / Fax
Email
PAYMENT Mode / Cash / Amount S$
Cheque ** / Bank/ Cheque / / # / Amount : S$
** Cheque should be crossed and made payable to "Catholic High Alumni"
Credit Card / Type / MASTER / VISA ( Delete whichever is not applicable)
Name / Amount : S$
Number / - / - / -
CCV/CCV2 / Expiry Date (month/year)
CONDITIONS /

Order Form must be faxed or emailed to Ms Doris Tan before Friday, 06 Jan 2017.
Order will only be processed upon receipt of full payment beforeFriday, 06 Jan 2017.
Payment by credit cards will be charged via “Peripheral Solutions (S) Pte Ltd”.
No refund for items not collected on the stipulated collection date.
To ensure freshness of items, items not collected on the stipulated collection date will not be kept for collection at a later date.

* Images shown are for illustration only.
PURCHASER Confirmation / This is to confirm my purchase and authorize “Peripheral Solutions (S) Pte Ltd” to charge to my credit card for the amount as per above Order Details. I will collect the purchase on :
Saturday, 21 January 2017, 10.00 am to 12.00 pm
Catholic High School (Primary School Canteen)
9 Bishan Street 22, Singapore 579767
______
Name / ______
Signature / ______
Date
COLLECTION
Details / ______
Name / ______
Signature / ______
Date

Note : Proceeds from the sales will go towards the operating fund for Morning @ Catholic High - breakfast expense.